Healthcare Provider Details

I. General information

NPI: 1366748535
Provider Name (Legal Business Name): LINDSEY D SPENCER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2011
Last Update Date: 12/12/2019
Certification Date: 12/12/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8260 PINE ROAD
CINCINNATI OH
45236
US

IV. Provider business mailing address

8260 PINE ROAD
CINCINNATI OH
45236
US

V. Phone/Fax

Practice location:
  • Phone: 513-841-0222
  • Fax: 513-841-0638
Mailing address:
  • Phone: 513-841-0222
  • Fax: 513-841-0638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number12129
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: